A project of the Galen Institute

Issue: "Medicaid"

The Real Story on How Much Obamacare Increased Coverage

Ed Haislmaier and Drew Gonshorowski
The Daily Signal
Thu, 2014-10-23
"We now have the Medicaid and private-market health insurance enrollment data for the second quarter of 2014 needed to complete the picture of how Obamacare’s rollout affected coverage. What we’ve learned is that the Obamacare gains in coverage were largely a result of the Medicaid expansion and that most of the gain in private coverage through the government exchanges was offset by a decline in employer-based coverage. In other words, it is likely that most of the people who got coverage through the exchanges were already insured."

GOP 2016 contenders: Repeal Obamacare, reform Medicaid

Jennifer Rubin
Washington Post
Thu, 2014-10-23
"Gov. John Kasich of Ohio was the first potential 2016 candidate to get snared in the Obamacare/Medicaid media snafu. As one of several GOP governors who expanded Medicaid, he naturally defends that move, which in an Associated Press interview came out as a defense of Obamacare, to which the Medicaid extension was attached. Kasich clarified his view, but the liberal media, Democrats and potential 2016 opponents may think they have their gotcha quote. Kasich, however, is correct that one can be for repealing Obamacare and still support states’ expansion of Medicaid. But other governors should be forewarned: You better be crystal clear about what you want to do."

Gov. Kasich's four Obamacare tricks

Philip Klein
Washington Examiner
Wed, 2014-10-22
"Ohio Gov. John Kasich, the Republican governor and possible 2016 contender, had a dust-up this week when the Associated Press reported pro-Obamacare comments he made. In reality, he subsequently said, he was only praising the Medicaid expansion — which he’s trying to argue is totally separate. I’ve already written about why this is a dishonest distinction, but his office has decided to dig in further. In a statement released on Twitter on Tuesday, his press department attempted to trick conservatives by using several cynical strategies often employed by Republicans trying to explain their big government policies."

71% of Obamacare Signups Traced to Government’s Expansion of Medicaid

Melissa Quinn
The Daily Signal
Wed, 2014-10-22
"The vast majority of Americans gaining health coverage under Obamacare actually qualified for Medicaid because of loosened eligibility —and that’s what boosted enrollment among those previously uninsured, according to a new report from The Heritage Foundation. The Obama administration has boasted that the Affordable Care Act, popularly known as Obamacare, would allow those previously uninsured to purchase quality, affordable health care. “The inescapable conclusion is that, when it comes to covering the uninsured, Obamacare so far is an expansion of Medicaid,” Heritage Foundation health policy experts Edmund F. Haislmaier and Drew Gonshorowski write in a research paper scheduled for release today."

Mars and Venus on Medicaid

John Graham
Forbes
Thu, 2014-10-16
"I will be covering Medicaid Health Plans of America’s annual conference in Washington, DC from October 26 to 28. So, I thought I’d prepare for it by reviewing the research on health outcomes for patients on Medicaid. What a tangled web! According to evidence cited by Forbes opinion editor and Manhattan Institute Senior Fellow Avik Roy, “patients on Medicaid have the worst health outcomes of any insurance program in America – far worse that those with private insurance and, strikingly, no better than those with no insurance at all. “ On March 10, 2011, the Wall Street Journal published a column by Forbes contributor and American Enterprise Institute Resident Fellow Scott Gottlieb, MD, which concluded that “Medicaid coverage is worse than no coverage at all.”"

Report: Obamacare Will Add $131 Billion to Federal Deficits in Next Decade

Robert Moffit, The Heritage Foundation
The Daily Signal
Tue, 2014-10-14
"Among President Obama’s many high-profile health care promises, there is this gem from his 2009 address to Congress: “I will not sign a plan that adds one dime to our deficits–either now or in the future.” But according to Republican staff on Senate Budget Committee, those dimes are starting to pile up. The Senate staff report says that the Affordable Care Act will add $131 billion to the federal deficits over the period 2015 to 2024."

GAO Bombshell: HHS Cooked The Books To Expand ObamaCare In Arkansas

Nic Horton, Jonathan Ingram and Josh Archambault, Forbes
Fri, 2014-10-10
"As we have written before, Arkansas’ “Private Option” ObamaCare Medicaid expansion has been a disaster for taxpayers, patients and politicians alike. Costs have run over budget every single month since the program’s launch. The Medicaid director who spearheaded the program abruptly resigned to “pursue other opportunities.” The program’s chief legislative architect, a three-term Republican state representative, lost his primary for an open Senate seat to a political newcomer, despite a significant fundraising advantage. And it’s a disaster for patients as well: the ObamaCare expansion plan is already prioritizing coverage for able-bodied adults over care for truly needy patients like Chloe Jones."

Supreme Court takes up Idaho Medicaid challenge

Sam Hananel, Associated Press
Fri, 2014-10-03
"The Supreme Court said Thursday it will decide whether private sector health care providers can force a state to raise its Medicaid reimbursement rates to keep up with the rising cost of services. The justices agreed to hear an appeal from Idaho, which wants to overturn a lower court decision that ordered the state to increase payments. A 2009 lawsuit argued that the state was unfairly keeping Medicaid reimbursement rates at 2006 levels despite studies showing that the cost of providing care had risen. A federal judge agreed, and the 9th U.S. Circuit Court of Appeals affirmed."

Will Health Make It More Likely That You'll Get Scammed?

Alison Bruzek
NPR
Tue, 2014-09-30
"You wake up feeling gross – stuffy and full of aches. A quick Google search of your symptoms confirms that yes, you probably have a cold and not the plague. But what if you were directed to a site that had a legitimate sounding name but wasn't really accurate at all? It sounds like a problem from the ancient days of the Internet. Since then people have learned that .gov leads to bona fide government sites, but .com could be anyone selling you anything. How do you feel about .health? A new slew of web domains is coming down the pike, like ".health," ".doctor," and ".clinic." They're not required to have any medical credentials. That's deeply worrying to some public health advocates."

How states have gamed Medicaid for hundreds of millions of dollars

Josh Hicks
Washington Post
Mon, 2014-09-22
"States have developed various ways to avoid paying their fair share of Medicaid expenses over the years, in some cases costing the federal government hundreds of millions of dollars in extra funding for the program. The Department of Health and Human Services, which runs Medicaid through its Centers for Medicare and Medicaid Services (CMS), has known about the issue for more than a decade, but states still find ways to game the system. The agency’s inspector general this year listed the issue among 25 key problems the agency needs to address."

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